Organization · Type 2 NPI
Staten Island Medical of New York, LLC
Vascular Surgery Physician · Staten Island, NY
NPI number
1669864369
Active
Practice location
1975 Hylan Blvd Ste C
Staten Island, NY 10306
Fax (888) 979-6720
Mailing address
4141 Dundee Rd
Northbrook, IL 60062-2129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1669864369
Staten Island Medical of New York, LLC's National Provider Identifier is 1669864369, issued on Mar 4, 2015. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Staten Island, NY. The record was last updated on May 24, 2018.